多层螺旋CT对急诊外伤性肝脾破裂的诊断价值  

Diagnostic value of multi-slice spiral CT for emergency traumatic liver and spleen rupture

作　　者：杜升军[1] 刘彦宁[1] 高亚洲[1] 肖征[1] 杜俊凯[1] 

机构地区：[1]西安交通大学医学部第一附属医院急诊科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2015年第6期854-856,861,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：陕西省科技攻关项目(No.2013k12-05-02)~~

摘　　要：目的探讨多层螺旋CT对外伤性肝脾破裂的诊断价值。方法对140例临床表现为肝脾损伤并手术证实的患者,回顾性分析多层螺旋CT检查资料并与临床对比分析。结果肝脾损伤多层螺旋CT表现为肝脾撕裂伤、肝脾内血肿及肝脾包膜下血肿。140例肝脾损伤中,男性多于女性,高发龄10~30岁,致伤原因以车祸伤及高处坠落伤最多,140例肝脾损伤病例中,脾脏损伤69例,占49%,肝脏损伤51例,占36%,肝脾同时损伤20例,占14%。结论多层螺旋CT外伤性肝脾破裂诊断价值高,有助于制定临床治疗方案。Objective To evaluate the diagnostic value of multi-slice spiral CT（MSCT）for traumatic spleen and liver rupture.Methods We made a retrospective analysis of 140 cases of liver and spleen injury with clinical manifestations confirmed by operation.MSCT examination results and clinical data were compared.Results Of the 140 cases,male patients outnumbered female ones,and the peak age was 10-30 years old.The injuries were most commonly attributed to traffic accident and falling.There were 69（49%）cases of spleen injury,51（36%）cases of liver injury,and20（14%）cases of both.Liver and spleen injuries showed on MSCT examination were liver and spleen laceration,hematoma within the liver and spleen as well as hematoma beneath the envelop.Conclusion MSCT has an important diagnostic value for traumatic liver and spleen rupture and thus can guide clinical treatment choice.

关 键 词：多层螺旋CT 肝破裂 脾破裂 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]